# GRAY-LESLIE ROWENA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700232139
- **Authorized official:** ROWENA M GRAY-LESLIE (OWNER)
- **Authorized official phone:** (443) 801-8492

## Contact information

- **Practice address:** 27409 HAMMOCK VIEW CT, YALAHA, FL 34797-3093
- **Practice address phone:** (443) 801-8492
- **Mailing address:** 27409 HAMMOCK VIEW CT, YALAHA, FL 34797
- **Mailing address phone:** (443) 801-8492

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 6906852 | FL | Yes |

## Other

- **Enumeration date:** 05/04/2016
- **Last updated:** 05/04/2016